The Oral Surgery Billing Specialist is responsible for managing the billing and reimbursement process for oral surgery procedures. This includes verifying insurance coverage, coding claims accurately, submitting claims, following up on unpaid claims, and ensuring timely payments.
Key duties include:
- Verifying patient insurance eligibility and benefits before procedures
- Obtaining prior authorizations when needed
- Coordinating benefits between medical and dental insurance plans
- Accurately verifying codes and submitting claims using ICD-10, CPT, and CDT
- Ensuring compliance with payer guidelines and regulatory requirements
- Resolving claim discrepancies and denials in a timely manner
- Monitoring aging reports and following up on outstanding claims
- Communicating with insurance companies to resolve claim issues or delays
- Posting insurance payments and adjustments accurately
- Preparing and sending patient statements for balances owed
- Handling patient billing inquiries and explaining charges or insurance denials
- Maintaining accurate billing records and insurance correspondence
- Generating reports on accounts receivable, claims status, and payment trends
Requirements & Qualifications
Education and experience
- High school diploma or equivalency required
- Associate’s degree or certification in medical billing or coding preferred
- Minimum of 1 year of experience in dental or medical billing; dental or oral surgery experience preferred
- Knowledge of ICD-10, CPT, and CDT coding
- Familiarity with dental/medical billing software such as WinOMS, DSN, or Sensei
- Knowledge of medical and dental insurance processes, including coordination of benefits
Skills and qualifications
- Strong organizational skills
- Excellent communication and customer/patient service skills
- Ability to handle multiple tasks in a fast-paced environment
- Analytical and detail-oriented
- Ability to work independently with initiative and sound judgment
- Ability to handle sensitive information confidentially
- Positive attitude and ability to lead by example
Location
Wichita, Kansas, US
Employment Type
Full-time
Experience Level
Entry Level
Remote work allowed
No
Posted
1 month ago
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